Diagnostic Group IHS

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AP128428 Issued in TX

Legal business name

DIAGNOSTIC GROUP IHS

Practice address

2200 Highway 365
Nederland, TX 77627-5506

Phone

(409) 722-4321

NPI assigned

Dec 31, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Ruiz

Title

Administrator

Phone

(409) 813-1677

Specialties & licenses 3

Addresses

Tax ID family

Diagnostic Group IHS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Diagnostic Group Integrated Healthcare System PLLC

  • Internal Medicine Physician
  • Beaumont, TX
  • NPI 1194061655
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1427413723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HIGHWAY 365",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776275506",
            "telephone_number": "409-722-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC GROUP IHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "409-813-1677"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "AP128428",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Rose Eezzuduemhoi PLLC
• Deep South Orthopedics and Sports Medicine
• Kristopher Gabas Dela Cruz, M.D.
• Kristina Devillier, M.ED., L.P.C.
• Devision Eye Care, LLC
• DJB Medical Equipment
• Kortni Duplecion, M.S., CCC-SLP
• Jennifer Lee East, FNP
• Michael Wayne Edgerly, PT
• Eduardo L Jaramillo MD PA

• Primary Care Clinic/Center in Nederland, TX
• Providers in Nederland, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.